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Dysphagia due to Retropharyngeal Abscess that Incidentally Detected in Subarachnoid Hemorrhage Patient

机译:蛛网膜下腔出血患者偶然发现的咽后脓肿引起的吞咽困难

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摘要

Cerebral hemorrhage is one of the most common causes of dysphagia. In many cases, dysphagia gets better once the acute phase has passed. Structural lesions such as thyromegaly, cervical hyperostosis, congenital web, Zenker's diverticulum, neoplasm, radiation fibrosis, and retropharyngeal abscess must be considered as other causes of dysphagia as well. Retropharyngeal abscess seldom occur in adults and if it does so, a search for a prior dental procedure, trauma, head and neck infection is needed. The symptoms may include neck pain, dysphagia, sore throat, and in rare cases, dyspnea accompanied by stridor. We present a case and discuss a patient who had dysphagia and neck pain after a cerebral hemorrhage. Testing revealed a retropharyngeal abscess. The symptoms were successfully treated after the administration of antibiotics.
机译:脑出血是吞咽困难的最常见原因之一。在许多情况下,一旦急性期过去,吞咽困难就会好转。诸如甲状腺肿大,子宫颈肥大,先天性网,Zenker憩室,肿瘤,放射纤维化和咽后脓肿等结构性病变也必须被视为吞咽困难的其他原因。咽后脓肿很少在成人中发生,如果这样做,则需要进行事先牙科检查,创伤,头颈部感染。症状可能包括颈部疼痛,吞咽困难,喉咙痛,在极少数情况下,伴有喘鸣的呼吸困难。我们介绍了一个案例并讨论了脑出血后出现吞咽困难和颈部疼痛的患者。测试显示咽后脓肿。服用抗生素后,症状得到了成功治疗。

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